Compareing domestic and foreign medical humanistic quality education,this paper analyzed the reason for the lack of medical humanistic quality and put forward countermeasures aiming at the reform of medical humanistic quality education in medical colleges and universities through learning from the practice and experience of foreign medical humanistic quality education.There countermeasure include:reforming the concept of medical humanistic Character education,innovateing the model of medical humanistic quality education,increaseing the construction of humanities quality curriculum system,training the professional skill of medical humanistic quality,establishing the evaluation-oriented effect system,exploreing the new model of modern medical professional education and medical humanistic quality education actively,and reconstructing the systematic system of medical humanisticing quality education.

Objective To learn the species distrilbution and drug-resistance of Gram-negative bacilli among bloodstream infections (BSI) in Yunnan province of China during 2012 to 2014.Methods Bloodstream infected Gram-negative bacilli were collected from 28 general hospitals in Yunan province of China.Data from all hospitals were applied with the same method of bacteria culture,isolation,identification and antibiotic sensitivity tests.WHONET 5.6 was used to perform the statistical analysis.Results A total of 9042 clinical strains of non-repetitive gram-negative bacilli were collected.Enterobacteriaceae and Non-fermenter bacteria accounted for 82.4％ and 17.6％ respectively.Enterobacteriaceae were mainly composed of Escherichia coli and Klebsiella pneumoniae.Non-fermenter bacteria were mainly composed of Acinetobacter baumannii and Pseudomonas aerouginosa.Escherichia coli accounted for the majority 49.29％,other species were Klebsiella pneumoniae 13.17％,Acinetobacter baumannii 4.04％ and Pseudomonas aeroginosa 3.85％.The susceptible rate of Enterobacteriaceae strains to the first generation cephalosporin was lower than 60％.The susceptible rate of E coli and Klebsiella pneumoniae to impenem was close to 100％,to Amikacin was more than 85％,to piperacillin-tazobactam was more than 70％,to Cefepime was more than 70％.But the susceptible rate of Klebsiella pneumoniae to impnem and amikacin decreased year by year from 2012 to 2014.The susceptible rate of Enterobacter cloacae to Amikacin was 86.4％ ～ 93.6％,Ciprofloxacin 70.5 ～ 76％,Cefepime 72.1 ～ 82.8％.It was less than other Enterobacteriaceae.The susceptible rate of Non-fermenter bacteria to normal antibiotics was much lower than Enterobacteriaceae.The susceptible rates of Pseudomonas aeroginosa to Impnem was 58.9％,Tobramycin 85％,Ciprofloxacin 71.7％,Amikacin 82.9％,Piperacillintazobactam 75.3％,Piperacillin59.6％,Atreonam 46.5％,Ceftazidime 69.1％ and Cefepime 68.9％ respectively.Furthermore,Acinetobacter baumannii's durg-resistance was more severe.The susceptible rate of Acinetobacter baumannii was lower than 30％,to the third and fourth generation cephalosporin,the susceptible rate of Ampicillin/Sulbactam,Cefoperazone/Sulbactam,Carbapenems,Piperacillin/Tazuobatan,Quinolones and Carbapenems was less than 40％.Conclusion Gram-negative bacilli have low susceptibilities among BSI.E.coli is the most common pathegon among BSI.The resistant rate of Non-fermenter bacteria to normal antibiotics is severe in hospitals.

Objective:To analyze the causes and influencing factors of the strained relationship between doctors and patients and explore the corresponding countermeasures.Methods:Five public hospitals in Ningxia were selected to conduct a questionnaire survey.The influencing factors of doctor-patient relationship were analyzed using SPSS17.0,combined with the results of field case interviews.Results:The society was not satisfied with the medical staff,the rate of dissatisfaction was 87.9％.The causes of tense doctor-patient relationship were mainly focused on the following aspects:imperfect medical insurance system,unreasonable medical system,negative media reports,inflated expectations of patients,lack of necessary communication between doctors and patients,and lack of medical ethics.Conclusion:According to the influencing factors of doctor-patient relationship,this paper puts forward some countermeasures from the perspective of governments,the society and media.

“Smart healthcare” is a new service model of “Internet plus healthcare”， which can greatly improve the level of medical intelligence and the sense of patients’ medical experience by creating a modern regional medical information platform. The construction of a smart healthcare system requires the collection of a large amount of personal health data， which inevitably leads to issues related to the protection of personal information， specifically including inadequate legal protection systems， the contradiction between development and protection， the failure of informed consent rules， and difficulties in technical protection. Therefore， it is necessary to find effective methods to build a balanced mechanism， such as improving the legal system， adjusting the application of informed consent， strengthening ethical and moral support， multi-party joint supervision， and other strategies， so that personal health information can promote medical progress and improve people’s well-being.

Public health emergencies not only bring great challenges to the conventional public health system, but also face some ethical dilemmas in the governance process. For example, the compulsory isolation measures affect the normal lives of some citizens, the normal medical treatment of non-epidemic patients may be constrained by complex governance environments, and the relationship between patient privacy protection and the public’s right to know needs to be deeply considered and balanced. To respond the ethical dilemmas in public health emergencies, it is necessary to explore more effective new ideas and methods under ethical concepts, combine with ethical needs in the governance of public health emergencies, comprehensively improve governance capabilities starting from the basic principles and behavioral standards of governance, with a view to providing more effective ethical support for the governance of public health emergencies.